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S A Moskalenko

Publications and source records attributed to S A Moskalenko.

At least 19 recordsLinked to original sources

Ral GTPases contribute to regulation of cyclin D1 through activation of NF-kappaB.

Ral GTPases have been implicated as mediators of Ras-induced signal transduction from observations that Ral-specific guanine nucleotide exchange factors associate with Ras and are activated by Ras. The cellular role of Ral family proteins is unclear, as is the contribution that Ral may make to Ras-dependent signaling. Here we show that expression of activated Ral in quiescent rodent fibroblasts is sufficient to induce activation of NF-kappaB-dependent gene expression and cyclin D1 transcription, two key convergence points for mitogenic and survival signaling. The regulation of cyclin D1 transcription by Ral is dependent on NF-kappaB activation and is mediated through an NF-kappaB binding site in the cyclin D1 promoter. Ral activation of these responses is likely through an as yet uncharacterized effector pathway, as we find activation of NF-kappaB and the cyclin D1 promoter by Ral is independent of association of Ral with active phospholipase D1 or Ral-binding protein 1, two proteins proposed to mediate Ral function in cells.

3T3 Cells↗

Slavic ethnomedicine in the Soviet Far East. Part I: Herbal remedies among Russians/Ukrainians in the Sukhodol Valley, Primorye.

This paper is the first of a series of publications on Slavic ethnomedicine in the Soviet Far East. Field studies were carried out among Russian and Ukrainian residents of the Sukhodol Valley in Primorye, USSR. Primorye is the southernmost region of the Soviet Far East and the extreme southeastern area of the Soviet Union. The region is interesting because of its nature, climate and rich flora. Informants have shown broad knowledge of pharmacological properties of wild and cultivated plants of the area. The study has recorded 93 plants in 41 families. The use of six species had not been described before.

Ethnicity↗

Preliminary screening of far-eastern ethnomedicinal plants for antibacterial activity.

The results of antibacterial screening of 308 ethanol extracts from 250 wild far-eastern plants belonging to 77 families are reported. Antibacterial activity of plant extracts was tested in vitro by the filter-paper disc assay method. The plants screened were reported to be used by the population of the Soviet Far East against some bacterial infections. Activity against gram-positive as well as gram-negative groups of microorganisms was tested.

Anti-Bacterial Agents↗

[Extracorporeal shock-wave lithotripsy (ESWL) in removal of stones in anomalies of kidney and upper urinary tracts].

The authors analyze the results of ESWL (URAT-P unit) for urolithiasis performed in 106 patients (49 females and 57 males) aged 16-67 years with anomalous kidneys and upper urinary tracts. 28, 1, 11, 14, 24, 4, 22 and 2 patients had horseshoe, L-shape, solitary, lumbar distopic, double, sponge, cystic kidneys, congenital megacallicosis, respectively. The stones ranged in size from 7 to 30 mm. Bilateral urolithiasis was in 7 patients. The number of impulses averaged 1745 +/- 168.4 per the procedure. The average number of ESWL procedures per stone was 1.4 (1-4). The stones were completely eliminated after one ESWL session in 78(73.6) patients, after two sessions in 23(21.7%) patients, after three sessions in 4, after for in 1 patient. Complications developed in 18 patients: urinary tract obstruction and attack of acute pyelonephritis (15 and 3 patients, respectively). Within 2-10-year follow-up recurrences arose in 12 patients who were retreated. Thus, ESWL is a method of choice in the treatment of urolithiasis patients with malformations of the kidneys and upper urinary tracts. Good results of ESWL are achieved in strict adherence to principles of the patients' selection, preoperative preparation technique, individual approach to patients in postoperative period, follow-up to detect complications and recurrences.

Adolescent↗

[Functional state of upper urinary tract in urgent extracorporeal lithotripsy].

Seven patients have undergone urgent extracorporeal lithotripsy (UEL) for renal colics. 3 patients were cured. Before UEL they had insignificant defects of urodynamics and ureteral contraction. 3 patients with initial dilation of the upper urinary tracts > 2 cm and reflux ureteral motility, residual concrements eliminated spontaneously or after additional UEL procedures or combined treatment. One female with initial pelvic and uretral dilation and disturbed motility of the upper urinary tracts was treated for 6 months. 1-2.5-year follow-up detected neither concrements nor marked dilation of the calyceropelvic system. Patients with renal colics have more pronounced local defects of contraction rhythm and activity, peristaltic direction. Peristaltic disorders in the upper urinary tracts in patients with renal colics are local and may be related to acute occlusion and neuroreflex effects. This explains why UEL produces good results in renal colics, especially in patients with minimal defects of urodynamics. Complicated course after UEL early after the operation occurred in patients with dilated upper urinary tracts, high contraction amplitude registered by high tonicity of the ureteral wall and the presence of retrograde peristaltic waves.

Humans↗

[Percutaneous paracentric nephrostomy in infants].

The paper describes the technique of transcutaneous paracentetic nephrostomy in infants, emphasizes advantages of this method in infants versus the others used to correct supravesical obstruction (open nephrostomy, ureterocutaneostomy, kidney catheterization, internal stenting), describes relevant indications. The nephrostomy was performed in 16 infants. The results show effectiveness and safety of this method.

Child, Preschool↗

[Initial results of the clinical use of a novel Russian lithotriptor LitURAT-UR].

By its performance characteristics LitURAT-UR lithotriptor is different from previous units made in Russia or abroad. Besides the double stone-directing system (ultrasound + x-ray), LitURAT-UR is furnished with two interchangeable generators of shock-wave impulses (electrohydraulic and electromagnetic) allowing effective destruction of any urolith. The TV system is able to control the interelectrode space and to change it in the course of lithotripsy. Efficiency of the new lithotriptor in different clinical forms of urolithiasis reached 93.1%. Thus, universal, effective and low-traumatic characteristics of the lithotriptor LitURAT-UR hold much promise for urological practice in Russia.

Adolescent↗

[Effects of impaired urodynamics and contractile function of the upper urinary tract on elimination of stone fragments after extracorporeal lithotripsy].

The authors analyze effects of amplitude, tone and frequency of ureteral contractions on elimination of stones fragmented after extracorporeal shock-wave lithotripsy (ECSWL) in 30 patients with concrements in the kidneys and ureters. Before ECSWL the patients had indications for renal pelvis cathetarization. The measurements were made with multichannel impedance ureterography. According to initial dilatation of the upper urinary tracts (UUT), the patients were divided into 3 groups. It is shown that urodynamic UUT disorders determine effectiveness of ECSWL in urolithiasis patients: the greater is the dilatation the more probable are unsatisfactory results of ECSWL. Ureteral contractile activity is essential for rehabilitation in early postoperative period after ECSWL in patients with unrevealed UUT dilation: high amplitude of ureteral contractions in low tone is good for the fragments elimination, while high tone may result to the fragments ejection into the kidney. Low contractility may contribute to development of stone path. In patients with pronounced UUT dilation ureteral contractility is less important for ECSWL effectiveness than the wall tone and retrograde ureteral peristaltic movements. ECSWL results are better in patients with low tone of UUT wall. High UUT tone, especially in combination with retrograde peristaltic ureteral contractions registered prior to ECSWL indicates high probability of residual stones and additional fragmentation procedures irrespective of initial UUT dilation.

Data Interpretation, Statistical↗

[Results of clinical use of the polyfunctional lithotripsy device "Dornier-U 50"].

The review of the results of clinical application of a polyfunctional lithotriptor Dornier-U50 in urolithiasis patients is presented. The treatment of 324 patients produced good results of lithotripsy in uroliths of any location in generating high-energy shock waves. Complete fragmentation was achieved in 86.4%, partial one--in 11.7%. Complications occurred in 9% of which 5.3% were cases of upper urinary obstruction. The Dornier-U50 lithotriptor can be used for both extracorporeal lithotripsy (under x-ray and ultrasound targeting) and various endoscopic operations under x-ray telecontrol. This allows maximal utilization efficiency of this equipment in diagnosis and treatment in urological hospitals.

Humans↗

[Complications of open surgical procedures in urolithiasis and their prevention].

236 operative interventions for urolithiasis have been performed in 234 patients. Of them, 187 (79.9%) patients developed complications. Intraoperatively complications resulted from opening of the pleural and abdominal cavities (20 patients, 8.5%) and intraoperative blood loss < 500 ml (19 patients, 8.1%). In one case a nephrectomy was made because of repeated hemorrhage early after the operation. Among the postoperative complications most frequent were acute pyelonephritis (34, 14.5%) and aggravation of renal failure (11, 4.7%). The former demanded extracorporeal detoxication in 9 cases, in the latter hemodialysis was not required. Residual comcrements occurred in 28 (12%) patients. 17 of them had to undergo extracorporeal lithotripsy. Thus, open urological interventions in urolithiasis are now conducted in advanced disease, provoking complications. This raises responsibility of the surgeons who must take maximal preventive measures and use novel technologies in management of the complications.

Adult↗

[Residual kidney stones and their treatment].

416 case histories of patients with different forms of urolithiasis aged 6 to 70 years who had undergone sectional nephrolithotomy (83, 19.9%), pyelonephrolithotomy (24, 5.8%), pyelolithotomy (146, 35.1%), percutaneous nephrolithotomy (163, 39.9%) were analysed. Residual nephroliths occurred in 108 (25.9%) patients. 98 of them were subjected to extracorporeal lithotripsy (ELT). To determine minimal possible interval between the operation and ELT, changes in the levels of lipid peroxidation products and concentration of alpha-glutathione-S-aminotransferase were studied. The results allowed the authors to optimize ELT after operative interventions for uroliths. In the course of 206 ELT sessions the residual uroliths were destroyed in 96 (97.9%) patients. After one session a complete fragmentation was achieved in 19 (19.4%) patients, after two sessions--in 64 (65.3%) patients, after three sessions and more--in 15 (15.3%). Pyoinflammatory complications developed in 8 (8.2%) patients while retrospectively such complications were encountered in 16 of 50 patients (32%). One month after ELT, the control examination found neither nephroliths nor their fragments in 85 (86.7%) patients, in patients with large and multiple stones elimination rate 1.5 months after the treatment was 69.5%. It is inferred that ELT is an effective method of residual uroliths elimination and is a method of choice in the treatment of such patients.

Adolescent↗

[New approach to improving efficacy and objective assessment of the extracorporeal lithotripsy].

Clinical trials of the generator EMSE 220F XXP were conducted on the lithotriptor Dornie C" in the Research Institute of Urology from September 2203 to January 2004. Extracorporeal lithotripsy (ECL) was made in 158 patients (66 women and 92 men, age 11-89 years) with different clinical forms of nephrolithiasis. The analysis of nephrolith fragmentation showed high disintegration power of the generator in all nephrolithiasis forms (97.4%). Maximal energy intensity in ECL of nephrolithis was under 7 units, of ureterolithis--10 units. The number of additional sessions averaged 11.4%, mean Edose was 49.2 J. Complications of early postoperative period was detected in 4 (2.5%) patients. In two of them (1.3%) subcapsular hematomas 180 cm3 in size were detected. The other two patients developed exacerbation of pyelonephritis early after operation. It was managed conservatively. Thus, EMSE 220F-XXP is a novel, highly effective source of generation of shock-wave impulses providing finely divided fragmentation of uroliths in 97.4% cases. A mean Edose 49.2 J effectively destructs urinary concrements of any location with a minimal risk of postoperative complications. Maximal intensity regimes should be used carefully with consideration of a high risk of traumatic complications.

Equipment Design↗

[The role of phytotherapy in pre- and postoperative period in patients with urolithiasis].

Effects of a biologically active food additive Prolit (PT Industry Djamu Borobudur, Indonesia) on the urinary system and metabolic status of patients with urolithiasis were studied. Total urinalysis, biochemical blood and urine tests by 12 indices, ultrasonic investigation of the kidneys, excretory and plain urography were made in 30 patients aged 23 to 70 years (7 females, 23 males). Prolit was given in a dose 1125 mg three times a day for 1-6 months. Prolit decreased hypercalciuria and urinary pH. A trend was observed to lowering of the degree of leukocyturia, hyperuricemia, hyperuria and hyperoxaluria. Urolithiasis recurrences were absent in 10 cases of 12 (83%), in 18 of 20 patients (90%) concrements did not increase in size. Prolit had no side effects.

Adult↗

[Ureteral remote shockwave lithotripsy].

UNLABELLED: During 1-year exploitation of a Lithostar remote lithotriptor (Siemens) 221 patients with concrements of various parts of the ureter were treated. The patients' ages were from 6 to 86 years. It the course of treatment 170 patients needed only 1 session of remote shock wave ureterolithotripsy; 44--2 sessions; 5--3; and 2--4 sessions. The ureterolithotripsy was carried out under intravenous and local infiltrative anesthesia, as well as under intravenous analgesia or without any anesthesia. According to presence or absence of the inflammation process, the time a concrement stood in the same place, the severity of obstructive nephropathy the following ureterolithotripsy methods were used: 1) "on the spot" (in the absence of inflammation and duration of concrement standing in one place no more than 6-8 weeks); 2) in the presence of an ureteral catheter (in more prolonged periods of concrement standing); 3) in the presence of transcutaneous puncture nephrostomy (in inflammatory process and severe signs of obstructive uropathy). Better treatment results were obtained in patients with a small concrement standing period and in those whose ureter concrements were shifted or passed the catheter. The retro- or anterograde concrement perfusion by physiologic saline and diuretic therapy increased the efficacy of remote shock wave ureterolithotripsy. The therapy was effective in 206 of 221 patients (93.2%); in case of failures 7 patients underwent an open ureterolithotomy; 5--retrograde and 3--anterograde ureteral stone extraction or lithotripsy. COMPLICATIONS: 6 patients had a pyelonephritis attack because of fragments crashed stone renal occlusion; 3 were operated on by the method of transcutaneous paracentetic nephrostomy; other 3 patients' kidneys were catheterized.(ABSTRACT TRUNCATED AT 250 WORDS)

Adolescent↗

[Formation of free radicals and DNA breaks after pulsed laser irradiation of DNA complexes with intercalating dyes].

Destruction of lambda phage DNA is studied under nanosecond pulse laser irradiation (lambda = 355 nm) of DNA-dye complexes in solution at 77K (dye--acridine orange, 8-methoxypsoralen, ethidium bromide). Free radicals induced by laser radiation are found to participate in DNA sugar-phosphate chain scission. It was observed that the quantity of DNA double-strand breaks correlated with that of the free radicals and that of oxygen influenced DNA laser destruction.

Acridine Orange↗

[The contractile function of the upper urinary tract during extracorporeal lithotripsy].

Functional urodynamic investigations of the upper urinary tracts (UUT) were performed in 14 patients before UUT catheterization preceding extracorporeal lithotripsy (ECL) on Lithostar unit (Siemens). UUT-inserted electrode PEDM-9 and six-channel urological rheograph REUR-6 registered multichannel impedance ureterogram (MIUG) and electroureterogram within the ureter. All the patients with uroliths exhibited impaired ureteral motility. They concerned mainly the form of the motility complexes, the direction of the waves and UUT tonicity. Functional analysis of bioelectrical curves in the UUT of patients with ureteroliths and nephroliths made it possible to distinguish two basic variants of the motility disorders: active, but deformed, contractility of UUT wall and its noticeable tone; weak contractility of ureteral wall, poor tone of, most likely, dilated UUT which could not resist passing movements from the viscera. ECL action on UUT motility was recorded from the moment of the unit switching on in the form of shifts in the frequency, and amplitude of the motility complexes, UUT tonicity, additional waves of MIUG readings. The changes registered depended on individual features of UUT reactivity and baseline abnormalities in the motility.

Animals↗

[The percutaneous endoscopic treatment of staghorn nephrolithiasis].

Basing on the data obtained on percutaneous removal of stag-horn nephroliths in 81 patients (44 females and 37 males aged 10-65), the authors discuss the operative technique and surgical results. The patients were divided into 4 groups depending on the stone size, its position in the pelvicaliceal system, the presence and severity of calicectasis. Nephroliths sizes ranged from 3.5 to 10 cm. Better treatment results were obtained in those patients who had the main mass of the stone in renal pelvis and in those with pyelocalicectasis. After the treatment 72 patients (88.8%) were free of the stones. Common among complications were episodes of pyelonephritis after the intervention and displacement of the nephrostomy drainage. The authors gained primary experience which supports benefit of percutaneous surgery of stag-horn nephroliths.

Adolescent↗

[Extracorporeal lithotripsy of stones in the single kidney].

The authors used shockwave lithotripsy (SWL) in 130 patients with solitary kidney to crush renal calculi. Valid policy in preoperative drainage may result in a significant reduction of the occurrence of postoperative obstructive complications. It was only 11.5%. A valid choice of sparing regimen of crushing kidney and prepelvic ureter calculi help prevent hematomas, a severe complication of early postoperative period. No cases of this complication were seen in the study. A significant renal function failure in early postoperative period was not recorded. A 2.5--5-year follow-up in 21 patients has found that in 61.9% of patients renal function recovered or remained stable, in 38.1% of patients renal function declined. This was due to deterioration of the underlying disease (chronic pyelonephritis, frequent recurrences of lithogenesis).

Adolescent↗